Organization
DEACONESS VNA PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA D HORTON (EXECUTIVE DIRECTOR)
(812) 425-3561
Entity
Organization
Contact information
Practice address
1300 US HIGHWAY 45 N, ELDORADO, IL 62930-3765
(618) 273-9305
(618) 273-2469
Mailing address
1300 US HIGHWAY 45 N, ELDORADO, IL 62930-3765
(618) 273-9305
(618) 273-2469
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011757
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186268
BLUE CROSS EVANSVILLE
IN
05
—
201266990A
—
IN
01
—
323484
BLUE CROSS TELL CITY
IN
01
—
323485
BLUE CROSS PRINCETON
IN
01
—
34-340042
KENTUCKY PROVIDER
KY
05
—
350868076001
—
IL
01
—
V255P9657A501475
VA PROVIDER # MARIAN
IL
Enumeration date
10/20/2006
Last updated
05/14/2015
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